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Boone Hospital Center: what a joint replacement costs

Columbia, MO 65201 · CMS Certification Number 260068. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,314
Surgery Center of Columbia, same ZIP
Outpatient here
$11,100
Medicare allowed amount, 333 cases, APC 5115
Inpatient here
$11,930
Avg total payment (incl. patient share), 64 Medicare stays, MS-DRG 470

Medicare prices at Boone Hospital Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$11,930$52,3724.4×$11,100
Shoulder replacement$16,090$57,7733.6×$15,593
Hip replacement after a fracture (DRG 522)$13,133$52,5794.0×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$23,5022.0×$19,051–$24,4553
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$24,4552.0×1
UnitedHealthcare$23,5022.0×1
Elevance/Anthem/Empire$19,0511.6×1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.2% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 394 beds

Missouri has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Boone Hospital Center for a knee or hip replacement?

In 2024 the average total payment to Boone Hospital Center for an inpatient hip or knee replacement stay was $11,930 (MS-DRG 470, 64 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,100 per outpatient case (APC 5115, 333 cases).

What is Boone Hospital Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $52,372, 4.4× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Boone Hospital Center?

Yes for Medicare facility payments. Surgery Center of Columbia, an orthopedic surgery center same ZIP away, is paid about $8,314 by Medicare for a knee replacement (CPT 27447), $3,616 less than an inpatient stay at Boone Hospital Center. Not every patient is a surgery-center candidate.

How does Boone Hospital Center compare with other Missouri hospitals?

Boone Hospital Center's average total payment per Medicare stay is lower than 97% of the 32 Missouri hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Boone Hospital Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $23,502 across 3 insurers, ranging from $19,051 to $24,455.